Evaluation of concurrent use of tobacco products (water pipe and cigarettes) and associated factors in adults in Tehran

Background Dual use of tobacco products such as cigarettes and water pipe may be associated with increased risk of nicotine dependence and smoking-related complications. Accurate statistics are not available in this regard in Iran. Thus, this study sought to assess the prevalence of dual cigarette/...

Full description

Bibliographic Details
Main Authors: Zahra Hessami, Gholam Reza Heydari, Hooman Sharifi, Mohammad Reza Masjedi, Sogol Sobhani
Format: Article
Language:English
Published: European Publishing 2018-03-01
Series:Tobacco Induced Diseases
Subjects:
Online Access:http://www.journalssystem.com/tid/Evaluation-of-concurrent-use-of-tobacco-products-water-pipe-and-cigarettes-and-associated,84675,0,2.html
_version_ 1819049550790262784
author Zahra Hessami
Gholam Reza Heydari
Hooman Sharifi
Mohammad Reza Masjedi
Sogol Sobhani
author_facet Zahra Hessami
Gholam Reza Heydari
Hooman Sharifi
Mohammad Reza Masjedi
Sogol Sobhani
author_sort Zahra Hessami
collection DOAJ
description Background Dual use of tobacco products such as cigarettes and water pipe may be associated with increased risk of nicotine dependence and smoking-related complications. Accurate statistics are not available in this regard in Iran. Thus, this study sought to assess the prevalence of dual cigarette/water pipe smoking and its related factors in Iran. Methods This cross-sectional study was conducted on Tehran residents over 15 years of age selected via cluster, multi-stage randomized sampling from different geographical districts of Tehran in November and December 2014. The data were collected using the water pipe section of the Global Adult Tobacco Survey (GATS) questionnaire. Results A total of 1,830 individuals participated in this study; of which, 243 (13.3%) were exclusive water pipe smokers, 76 (4.2%) were dual smokers of cigarettes and water pipe and 120 (6.6%) were exclusive cigarette smokers. Of dual smokers, 86.8% were males and 13.2% were females (P< 0.001). The mean age was 28.01±8.7 yearsin exclusive water pipe smokers and 33.1±1.1 yearsin dual smokers (P< 0.001). Male sex (adj. OR: 3.8) and older age (adj. OR: 1.06) increased the odds of dual smoking. Conclusions The prevalence of dual smoking and exclusive water pipe smoking was 4.2% and 13.3%, respectively. Exclusive cigarette smoking had a prevalence of 6.1%. The frequency of dual smoking of cigarettes and water pipe was considerably high. Dual smokers had a higher mean age than exclusive water pipe smokers and they were mostly males. The mean age at initiation of water pipe smoking in dual smokers was lower than the mean age at the onset of cigarette smoking. In other words, dual smokers started water pipe smoking sooner than cigarette smoking. Future studies with different methodologies are required to further scrutinize the relationship of water pipe and cigarette smoking.
first_indexed 2024-12-21T11:33:56Z
format Article
id doaj.art-4d8da391300d4ad0ad6fd6dde48d8eae
institution Directory Open Access Journal
issn 1617-9625
language English
last_indexed 2024-12-21T11:33:56Z
publishDate 2018-03-01
publisher European Publishing
record_format Article
series Tobacco Induced Diseases
spelling doaj.art-4d8da391300d4ad0ad6fd6dde48d8eae2022-12-21T19:05:29ZengEuropean PublishingTobacco Induced Diseases1617-96252018-03-0116110.18332/tid/8467584675Evaluation of concurrent use of tobacco products (water pipe and cigarettes) and associated factors in adults in TehranZahra Hessami0Gholam Reza Heydari1Hooman Sharifi2Mohammad Reza Masjedi3Sogol Sobhani4Shahid Beheshti University of Medical Sciences, Tobacco Prevention and Control Research Center, National InsituteTuberculosis and Lung Diseases, Iran, Islamic Rep. OfShahid Beheshti University of Medical Sciences, Tobacco Prevention and Control Research Center, National Research Institute Tuberculosis and Lung Diseases, Iran, Islamic Rep. OfShahid Beheshti University of Medical Sciences, Iran, Islamic Rep. OfShahid Beheshti University of Medical Sciences, Iran, Islamic Rep. OfIranian Anti Tobacco Association, Iran, Islamic Rep. OfBackground Dual use of tobacco products such as cigarettes and water pipe may be associated with increased risk of nicotine dependence and smoking-related complications. Accurate statistics are not available in this regard in Iran. Thus, this study sought to assess the prevalence of dual cigarette/water pipe smoking and its related factors in Iran. Methods This cross-sectional study was conducted on Tehran residents over 15 years of age selected via cluster, multi-stage randomized sampling from different geographical districts of Tehran in November and December 2014. The data were collected using the water pipe section of the Global Adult Tobacco Survey (GATS) questionnaire. Results A total of 1,830 individuals participated in this study; of which, 243 (13.3%) were exclusive water pipe smokers, 76 (4.2%) were dual smokers of cigarettes and water pipe and 120 (6.6%) were exclusive cigarette smokers. Of dual smokers, 86.8% were males and 13.2% were females (P< 0.001). The mean age was 28.01±8.7 yearsin exclusive water pipe smokers and 33.1±1.1 yearsin dual smokers (P< 0.001). Male sex (adj. OR: 3.8) and older age (adj. OR: 1.06) increased the odds of dual smoking. Conclusions The prevalence of dual smoking and exclusive water pipe smoking was 4.2% and 13.3%, respectively. Exclusive cigarette smoking had a prevalence of 6.1%. The frequency of dual smoking of cigarettes and water pipe was considerably high. Dual smokers had a higher mean age than exclusive water pipe smokers and they were mostly males. The mean age at initiation of water pipe smoking in dual smokers was lower than the mean age at the onset of cigarette smoking. In other words, dual smokers started water pipe smoking sooner than cigarette smoking. Future studies with different methodologies are required to further scrutinize the relationship of water pipe and cigarette smoking.http://www.journalssystem.com/tid/Evaluation-of-concurrent-use-of-tobacco-products-water-pipe-and-cigarettes-and-associated,84675,0,2.htmlWCTOH
spellingShingle Zahra Hessami
Gholam Reza Heydari
Hooman Sharifi
Mohammad Reza Masjedi
Sogol Sobhani
Evaluation of concurrent use of tobacco products (water pipe and cigarettes) and associated factors in adults in Tehran
Tobacco Induced Diseases
WCTOH
title Evaluation of concurrent use of tobacco products (water pipe and cigarettes) and associated factors in adults in Tehran
title_full Evaluation of concurrent use of tobacco products (water pipe and cigarettes) and associated factors in adults in Tehran
title_fullStr Evaluation of concurrent use of tobacco products (water pipe and cigarettes) and associated factors in adults in Tehran
title_full_unstemmed Evaluation of concurrent use of tobacco products (water pipe and cigarettes) and associated factors in adults in Tehran
title_short Evaluation of concurrent use of tobacco products (water pipe and cigarettes) and associated factors in adults in Tehran
title_sort evaluation of concurrent use of tobacco products water pipe and cigarettes and associated factors in adults in tehran
topic WCTOH
url http://www.journalssystem.com/tid/Evaluation-of-concurrent-use-of-tobacco-products-water-pipe-and-cigarettes-and-associated,84675,0,2.html
work_keys_str_mv AT zahrahessami evaluationofconcurrentuseoftobaccoproductswaterpipeandcigarettesandassociatedfactorsinadultsintehran
AT gholamrezaheydari evaluationofconcurrentuseoftobaccoproductswaterpipeandcigarettesandassociatedfactorsinadultsintehran
AT hoomansharifi evaluationofconcurrentuseoftobaccoproductswaterpipeandcigarettesandassociatedfactorsinadultsintehran
AT mohammadrezamasjedi evaluationofconcurrentuseoftobaccoproductswaterpipeandcigarettesandassociatedfactorsinadultsintehran
AT sogolsobhani evaluationofconcurrentuseoftobaccoproductswaterpipeandcigarettesandassociatedfactorsinadultsintehran